Evaluation of EMDR Therapy Efficacy in Treatment of Phantom Limb Pain

Amaç: Fantom ağrısının (FA) tedavisinde Eye Movements of Desensitization and Reprocessing (EMDR) terapisinin etkinliği araştırılmıştır.Yöntem: Çalışmaya GATA Ortopedi ve Travmatoloji bölümünde yatan ve ampütasyon uygulanmış 14 hasta alınmıştır. Dört hastaya diyabetik ayak nedeniyle, 10 hastaya ise travmatik nedenli ampütasyon uygulanmıştır. Beş hastaya üç seans, sekiz hastaya beş seans ve iki hastaya da altı seans EMDR uygulaması yapılmıştır. Tedavinin sonlanması, hastaların ağrılarının olmadıklarını ifade etmeleriyle sağlanmıştır. Ampütasyon sonrası EMDR uygulamasından önce erken dönemde (birinci hafta sonunda) ve uygulamadan hemen sonra Mc Gill Melzack Ağrı Soru Formu, Durumluk Kaygı Envanteri (DKE), Beck Depresyon Ölçeği (BDÖ) ve Ruhsal Belirti Tarama Listesi (Symptom Distress Checklist, SCL 90-R) uygulanmıştır. Daha sonra bir ay ve üç ay sonra kontrol muayenesine çağrılan hastalara bu testler tekrar verilmiştir. SCL 90-R ise üçüncü ay kontrolünde tekrar uygulanmıştır.Bulgular: EMDR uygulaması öncesi, uygulama sonrası, bir ay ve üç ay sonra kontrollerde hastaların ağrılarında belirgin azalma görülmüştür.Sonuç: Bu çalışmada, EMDR terapisinin fantom ağrıları üzerinde anlamlı bir iyileşme sağladığı saptanmıştır. Bulgulara dayanarak EMDR terapisi fantom ağrıları üzerinde erken dönem uygulamasıyla etkin görülmüştür.

Fantom ağrılarının tedavisinde EMDR terapi etkinliğinin değerlendirilmesi

Objective: The aim of this study was to determine the effectiveness of Eye Movements of Desensitization and Reprocessing (EMDR) therapy in the treatment of the phantom limp pain.Method: Participants of this study consist of amputation applied 14 inpatients in the Orthopaedics and Traumatology Department of Gülhane Military Hospital. Amputation was applied to four patients with diabetic foot and ten patients with trauma. Five patients had three sessions , eight patients had five sessions and two patients had six sessions of EMDR applications. The treatment was ended when patients expressed that they were not in pain. Following amputation, McGill Melzack Pain Questionnaire, State Anxiety Inventory (STAI-I), the Beck Depression Inventory (BDI) and the Symptom Checklist (SCL-90-R) were applied at the end of the first week before EMDR applications and just after the EMDR applications. These tests were given to the patients who were invited to control again after one month and three months. The SCL-90-R was applied again in the third month control.Results: It was seen that phantom pain significantly decreased before the treatment, among shortly after, one month and 3 months later controls.Conclusion: In this study, EMDR therapy has been found to provide a significant improvement over the phantom pain. Based on the findings, EMDR therapy has been shown effective with early application on phantom pain.

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